Nouvelle déclaration d'incident
No de la demande: 2011-3835
Numéro de référence du titulaire d'homologation: 826749
Nom du titulaire (nom légal complet, aucune abbréviation): S.C. Johnson and Son, Limited
Adresse: 1 Webster Street
Ville: Brantford
État: ON
Pays: Canada
Code postal /Zip: N3T 5R1
Incident chez l'humain
Pays: CANADA
État: ALBERTA
ARLA No d'homologation ARLA No de la demande d'homologation EPA No d'homologation. Inconnu
Nom du produit: OFF! Deep Woods (non-specific)
Oui
Inconnu
Site: Personal use / Usage personnel
Personne affectée
Sexe: Femme
Âge: >19 <=64 yrs / >19 <=64 ans
Système
Unknown / Inconnu
Oui
Non
Non professionnel
Application
Aucun
Peau
<=15 min / <=15 min
>2 hrs <=8 hrs / > 2 h < = 8 h
7/26/2011 Caller states states she used the product for the first time 10 days ago. Within 4-6 hours she noticed a rash of red irritated bumpy skin that itched and burned on her arms and legs where she had sprayed the product. 1 day later the skin blistered all over the rash. Some blisters were very large. Caller went to doctor 2 days after application. Doctor prescribed hydrocortisone and antibiotic creams. Rash is now itchy scabs that are falling off. Her grandmother sprayed her arms the same day. She developed an identical rash and blisters on arms where the product was sprayed within the same time frame. She has not seen a doctor. Caller is at work without the product and is unable to provide product info or lot #. Follow-up received from consumer on 8/9/2011 in the form of a letter. The consumer provided copies of her medical records that included a physician's opinion that the patient experienced contact dermatitis from the insect repellent.
Modérée
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. The differential diagnosis for a skin or allergic condition of this nature would include multiple potential etiologies which, in addition to this product, include such factors as plant allergens, insect bites, heat rash, mold, food, infectious pathogens, medications, dietary supplements, etc.. Target allergy testing would be required before labeling this product as the causative agent.
Personne affectée
Sexe: Femme
Âge: >64 yrs / > 64 ans
Système
Unknown / Inconnu
Non
Non
Non professionnel
Application
Aucun
Peau
<=15 min / <=15 min
>2 hrs <=8 hrs / > 2 h < = 8 h
7/26/2011 Caller states states she used the product for the first time 10 days ago. Within 4-6 hours she noticed a rash of red irritated bumpy skin that itched and burned on her arms and legs where she had sprayed the product. 1 day later the skin blistered all over the rash. Some blisters were very large. Caller went to doctor 2 days after application. Doctor prescribed hydrocortisone and antibiotic creams. Rash is now itchy scabs that are falling off. Her grandmother sprayed her arms the same day. She developed an identical rash and blisters on arms where the product was sprayed within the same time frame. She has not seen a doctor. Caller is at work without the product and is unable to provide product info or lot #. Follow-up on attempted on 8/1/2011, however the phone number provided by the consumer was not in service.
Mineure
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified in the telephone interviews. The differential diagnosis for a skin or allergic condition of this nature would include multiple potential etiologies which, in addition to this product, include such factors as plant allergens, insect bites, heat rash, mold, food, infectious pathogens, medications, dietary supplements, etc.. Target allergy testing would be required before labeling this product as the causative agent.